NUR 414 EXAM 1 QUESTIONS & ANSWERS
According to Healthy People 2020, strategies that address leading health indicators for
the nation would include all of the following areas except:
A. Decreasing tobacco use
B. Increasing innovative treatments for cancers
C. Decreasing substance abuse
D. Increasing immunization rates - Answers - B
Obesity in children and adolescents is defined as:
A. BMI > 90th percentile for age and height
B. BMI < 90th percentile for age and gender
C. BMI > 95th percentile for age and height
D. BMI > 95th percentile for age and gender - Answers - D
Mental health problems in children:
A. Affect 1 in 20 adolescents
B. Make the children less likely to drop out of school than those with other disabilities
C. Include ADHD
D. Are more common in children living in large urban centers - Answers - C
The disease that continues to be a leading cause of death in all age-groups of children
is:
A. Type I DM
B. AIDS
C. Cancer
D. Infectious disease - Answers - C
Fifty percent of all acute conditions of childhood can be accounted for by:
A. Injuries and accidents
B. Bacterial infection
C. Parasitic disease
D. Respiratory illness - Answers - D
Which one of the following statements is true about infant mortality in the US?
A. There has been a recent dramatic increase in infant mortality in US
B. The US is currently world leader in reducing infant mortality
C. In the US, infant mortality for whites is considerably lower than other races
D. The US has lower infant mortality rates than most other developed countries -
Answers - C
The major determinant of neonatal death in technologically developed countries is:
A. Birth weight
B. Short gestation
C. Long gestation
D. HIV infection - Answers - A
,Which of the following accounts for the most deaths in infants under 1yr of age?
A. Pneumonia and influenza
B. Infections specific to the perinatal period
C. Accidental injuries
D. Congenital abnormalities - Answers - D
Infant mortality decreased significantly in the 1990s for which of the following?
A. Low birth weight
B. Congenital heart defects
C. HIV infection
D. SIDS - Answers - C
Which of the following differences if seen when infant death rates are categorized
according to race?
A. Disparities among races have continued to increase dramatically in the US
B. Infant mortality for Hispanic infants is much higher than any other group
C. Infant mortality for African Americans is twice the rate of whites
D. Infant mortality for white infants is the same as for other races - Answers - C
After a child reaches that age of 1 year, the leading cause of death is from:
A. HIV
B. Congenital anomalies
C. Unintentional injuries
D. Heart disease - Answers - C
Children 12 years of age and older who are victims of homicide tend to be killed by:
A. Firearms
B. Family members
C. Stabbing
D. Poor safety devices on firearms - Answers - A
Which of the following social factors contributes to increased mobility in children?
A. Poverty
B. Geographic region
C. Birth order
D. Paternal age - Answers - A
Which one of the following statements about injuries in childhood is false?
A. Developmental stage partially determines the prevalence of injuries at a given age
B. Most fatal injuries occur in children under the age of 9 years
C. Developmental stage helps direct preventative measures
D. Children ages 5-9 years are at greater risk for bicycle fatalities - Answers - B
The incidence of accidental drowning is highest in both boys and girls in what age-
group?
, A. < 1 year
B. 1-4 years
C. 5-14 years
D. 15-24 years - Answers - D
The current trend toward EBP involves:
A. Questioning whether a better approach exists
B. Analyzing published clinical research
C. Increased emphasis on measurable outcomes
D. A, B, and C are correct - Answers - D
Two basic concepts in the philosophy of family-centered pediatric nursing care are:
A. Enabling and empowerment
B. Empowerment and bias
C. Enabling and curing
D. Empowerment and self-control - Answers - A
One role of the nurse in the parent-professional partnership is to:
A. Decide what is most important for the family
B. Decide what is most important for the family
C. Strengthen the family's ability to make informed choices
D. Manipulate the available resources - Answers - C
An example of atraumatic care would be to:
A. Eliminate all traumatic procedures
B. Restrict visiting hours to adults only
C. Encouraging parents to "room in" w/child
D. Remove parents from the room during painful procedures - Answers - C
As the movement for providing care based on evidence continues, nurses will be using
methods to evaluate research such as:
A. Agency for Health Care Policy and Research (AHCPR) guidelines in place of
guidelines developed locally
B. Guidelines that are based on traditional practice
C. the GRADE criteria
D. Guidelines that reflect current research but decrease job satisfaction - Answers - C
Case Study:
Marisa Gutierrez arrives with her infant, Sara in the well-baby clinic. Sara, who is 15
months old, is the youngest of 3 children. Her mother brought her to the clinic for well-
child care. Sara's two brothers, who are 7 and 8 years old, have come as well. As the
nurse interview the mother, Sara explores the examination room. She reaches for her
older brothers' coin and puts one in her mouth.
After organizing the data into similar categories, the nurse correctly makes which one of
the following decisions?
According to Healthy People 2020, strategies that address leading health indicators for
the nation would include all of the following areas except:
A. Decreasing tobacco use
B. Increasing innovative treatments for cancers
C. Decreasing substance abuse
D. Increasing immunization rates - Answers - B
Obesity in children and adolescents is defined as:
A. BMI > 90th percentile for age and height
B. BMI < 90th percentile for age and gender
C. BMI > 95th percentile for age and height
D. BMI > 95th percentile for age and gender - Answers - D
Mental health problems in children:
A. Affect 1 in 20 adolescents
B. Make the children less likely to drop out of school than those with other disabilities
C. Include ADHD
D. Are more common in children living in large urban centers - Answers - C
The disease that continues to be a leading cause of death in all age-groups of children
is:
A. Type I DM
B. AIDS
C. Cancer
D. Infectious disease - Answers - C
Fifty percent of all acute conditions of childhood can be accounted for by:
A. Injuries and accidents
B. Bacterial infection
C. Parasitic disease
D. Respiratory illness - Answers - D
Which one of the following statements is true about infant mortality in the US?
A. There has been a recent dramatic increase in infant mortality in US
B. The US is currently world leader in reducing infant mortality
C. In the US, infant mortality for whites is considerably lower than other races
D. The US has lower infant mortality rates than most other developed countries -
Answers - C
The major determinant of neonatal death in technologically developed countries is:
A. Birth weight
B. Short gestation
C. Long gestation
D. HIV infection - Answers - A
,Which of the following accounts for the most deaths in infants under 1yr of age?
A. Pneumonia and influenza
B. Infections specific to the perinatal period
C. Accidental injuries
D. Congenital abnormalities - Answers - D
Infant mortality decreased significantly in the 1990s for which of the following?
A. Low birth weight
B. Congenital heart defects
C. HIV infection
D. SIDS - Answers - C
Which of the following differences if seen when infant death rates are categorized
according to race?
A. Disparities among races have continued to increase dramatically in the US
B. Infant mortality for Hispanic infants is much higher than any other group
C. Infant mortality for African Americans is twice the rate of whites
D. Infant mortality for white infants is the same as for other races - Answers - C
After a child reaches that age of 1 year, the leading cause of death is from:
A. HIV
B. Congenital anomalies
C. Unintentional injuries
D. Heart disease - Answers - C
Children 12 years of age and older who are victims of homicide tend to be killed by:
A. Firearms
B. Family members
C. Stabbing
D. Poor safety devices on firearms - Answers - A
Which of the following social factors contributes to increased mobility in children?
A. Poverty
B. Geographic region
C. Birth order
D. Paternal age - Answers - A
Which one of the following statements about injuries in childhood is false?
A. Developmental stage partially determines the prevalence of injuries at a given age
B. Most fatal injuries occur in children under the age of 9 years
C. Developmental stage helps direct preventative measures
D. Children ages 5-9 years are at greater risk for bicycle fatalities - Answers - B
The incidence of accidental drowning is highest in both boys and girls in what age-
group?
, A. < 1 year
B. 1-4 years
C. 5-14 years
D. 15-24 years - Answers - D
The current trend toward EBP involves:
A. Questioning whether a better approach exists
B. Analyzing published clinical research
C. Increased emphasis on measurable outcomes
D. A, B, and C are correct - Answers - D
Two basic concepts in the philosophy of family-centered pediatric nursing care are:
A. Enabling and empowerment
B. Empowerment and bias
C. Enabling and curing
D. Empowerment and self-control - Answers - A
One role of the nurse in the parent-professional partnership is to:
A. Decide what is most important for the family
B. Decide what is most important for the family
C. Strengthen the family's ability to make informed choices
D. Manipulate the available resources - Answers - C
An example of atraumatic care would be to:
A. Eliminate all traumatic procedures
B. Restrict visiting hours to adults only
C. Encouraging parents to "room in" w/child
D. Remove parents from the room during painful procedures - Answers - C
As the movement for providing care based on evidence continues, nurses will be using
methods to evaluate research such as:
A. Agency for Health Care Policy and Research (AHCPR) guidelines in place of
guidelines developed locally
B. Guidelines that are based on traditional practice
C. the GRADE criteria
D. Guidelines that reflect current research but decrease job satisfaction - Answers - C
Case Study:
Marisa Gutierrez arrives with her infant, Sara in the well-baby clinic. Sara, who is 15
months old, is the youngest of 3 children. Her mother brought her to the clinic for well-
child care. Sara's two brothers, who are 7 and 8 years old, have come as well. As the
nurse interview the mother, Sara explores the examination room. She reaches for her
older brothers' coin and puts one in her mouth.
After organizing the data into similar categories, the nurse correctly makes which one of
the following decisions?
